Galway Bay Swim - Boat Captain Form (Submit by July 1st, 2024)

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To Each Skipper / Boat Captain:

Thank you for supporting the Galway Bay Swim. The skipper has a significant role in the safety and success of swimmers in completing the swim. Please read and complete the boat checklist below. Once complete, sign by typing in your name and then click on SUBMIT FORM below.

NOTE: This form can be completed and submitted ONLINE. You do NOT need to send or email in a printed copy of the form.

Galway Bay Swim

Boat Captain Name *

Boat Captain Mobile Phone Number *

Boat Captain Email Address *

Boat Captain Handling Experience / Qualifications *

Name of Swimmer / Relay Team you will be accompanying on the Galway Bay Swim? *

Boat Insurance Company Name *

Boat Insurance Policy Number *

Boat Name *

Boat Make, Model and Colour *

Boat Length in Metres *

Engine Fuel Type *

Boat Safety Equipment - Please check which of the following items are on your boat: *

VHF Radio (Mandatory)

Life Jackets/Buoyancy Aids – for each crew member & swimmer (Mandatory)

Boat Insurance. (Mandatory) Note: Your insurance must cover you, your boat, your crew and any passengers.

Auxiliary Engine (Recommended)

Anchor & Wrap – Minimum 30M length

A short line with a floating device attached that can be thrown to the swimmer if in difficulty.

Required

Please tick the box below to confirm that we can contact you via email and/or phone to update you on the Galway Bay Swim. Note, this will be primarily for information and safety purposes. *

Yes - I consent to be contacted for information and safety purposes by the Galway Bay Swim.

No - I do not wish to be contacted.

Required

Declaration: By submitting this form, I acknowledge that my participation in this event is at my own & exclusive risk in every respect. I agree to indemnify members & servants of The Frances Thornton Memorial Galway Bay Swim(FTMGBS) and Cancer Care West and their respective officers, committee members and agents in respect of all & every loss, injury or damage to myself, boat, crew and all third parties.

I confirm that I have read the above and the Galway Bay Swim Safety document (on the Forms section of the www.galwaybayswim.com website) and that my crew are aware of these undertakings. I declare all of the above details to be correct and I also confirm that my vessel is insured and is equipped with the above safety items where the box has been checked.

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